No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF ILLINOIS EIN 36-1236610 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other insurance fees and expenses Service code 12 | — | $597K |
| ARNOLD & KADJAN EIN 36-2498571 NONE | Legal; Other services Service code 29 | — | $135K |
| BENEFITS MANAGEMENT GROUP INC EIN 20-0188125 NONE | Contract Administrator; Other services; Copying and duplicating Service code 13 | — | $123K |
| AMALGAMATED BANK EIN 36-0721895 NONE | Investment management; Float revenue; Custodial (securities) Service code 19 | — | $82K |
| TFBC, INC. EIN 27-3782504 NONE | Consulting (general) Service code 16 | — | $53K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $32K |
| HINSHAW & CULBERTSON EIN 36-2128133 NONE | Legal Service code 29 | — | $10K |
| CHEIRON EIN 13-4215617 NONE | Actuarial Service code 11 | — | $9K |
| RICHARD J WOLF EIN 36-3182363 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $8K |
| VISION SERVICE PLAN EIN 20-0891619 NONE | Claims processing Service code 12 | — | $6K |
| MARQUETTE ASSOCIATES EIN 36-3485298 NONE | Investment advisory (plan) Service code 27 | — | $6K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 433 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 233 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 666 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 260 | $835K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 494 | $34K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 494 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 494 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.